Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nutaporn Sukontasup, OD

Individual provider Optometrist · NPI 1104930817

Dr. Nutaporn Sukontasup, OD is an Optometry in Fulton, Maryland. Qualified in 2003, 23 years ago. Practices with First Sight Vision Care LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
23
Licensed in
MD
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

8115 Maple Lawn Blvd Ste 135
Fulton, MD 20759-2681
Phone: (443) 804-1173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TA1848 (MD)

Record details

NPI number1104930817
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJanuary 15, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice First Sight Vision Care Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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